That was absolutely clear from the beginning. It is just physics and chemistry. If you have problem not with the breathing process but with gas exchange in lungs there are no any way artificial breathing AKA intubation could somehow help. It absolutely does not matter how you fill and discharge lungs with air, artificially or in natural way if something prevent normal gas exchange. Intubation was never used for pneumonia. To resolve gas exchange problem you need to change oxygen amount for one breath, by rising ambient pressure or adding oxygen to breathing air, not force breathing artificially. You need an intubation only when a person somehow lost an ability to physically breath - for some problem with nerve signals to lung muscules or damage of breathing muscules, something like that. If a person could perfectly breath himself, using intubation is not only useless, but also extremely harmful due to so many reasons.
That idiocy / intended harm was so obvious and on the surface, that I still don't understand why so many people just eat that ventilator bullshit without any questions. Seems that nobody cared about learning physics and chemistry in school or think that physics and chemistry does not apply for medicine.
At least in Russia, typical treatment for severe pneumonia was pressure chamber ( increasing pressure you increase number of oxygen molecules in unit of volume ) or just adding oxygen to the breathing air.
Of course it is possible that some old and weak person could lose any strength in lung muscles trying to breath intensively, but you have to just don't give a fuck to his condition for a long time and intentionally leave him suffocating instead of placing him in pressure chamber or feedng with additional oxygen to make him breathe normally. So, you have to intentionally make lung muscles weak to get a reason for intubation in case of pneumonia. And it will not be pneumonia, it will be lang muscles failure. Obviously.
Yep, I remember in the beginning, part of the argument was that intubation allowed them to not have the 'germ infested' air exhaled through the room so it was deemed safer for staff and other patients and that was part of the argument for skipping the usual intermediate steps of supplemental oxygen. Probably staff in fear of getting killed themselves were reluctant to argue at first. If covid were really the deadly ebola type death sentence it was marketed as, then such decisions might have made a tad more sense but that should have been quickly found to be wrong very soon. Doctors should have known this was the wrong thing to do as well. I am not sure all hospitals went this route though, but it's scary to think of how many doctors killed people using the vents when they should have known better.
And now are still doing it with remdesivir. Docs were eventually able to spread the word around about the danger of the vents though, probably exactly because some docs knew how to properly treat clogged lungs. However few docs have experience with remdesivir and the way it kills can be mistaken for the way covid kills so it's going to be less easy to expose. Remdesivir is pure evil genius for killing more people, push a treatment that no one knows about that kills people in ways that can be blamed on the illness it is supposedly treating.
Good write up but I will say intubation, while not first line airway management, is the last step. Nasal cannula, non rebreather, airvo, bipap, intubate, is kind of the order things go. Intubation with a vent also allows PEEP manipulation to help maintain pressure
That was absolutely clear from the beginning. It is just physics and chemistry. If you have problem not with the breathing process but with gas exchange in lungs there are no any way artificial breathing AKA intubation could somehow help. It absolutely does not matter how you fill and discharge lungs with air, artificially or in natural way if something prevent normal gas exchange. Intubation was never used for pneumonia. To resolve gas exchange problem you need to change oxygen amount for one breath, by rising ambient pressure or adding oxygen to breathing air, not force breathing artificially. You need an intubation only when a person somehow lost an ability to physically breath - for some problem with nerve signals to lung muscules or damage of breathing muscules, something like that. If a person could perfectly breath himself, using intubation is not only useless, but also extremely harmful due to so many reasons.
That idiocy / intended harm was so obvious and on the surface, that I still don't understand why so many people just eat that ventilator bullshit without any questions. Seems that nobody cared about learning physics and chemistry in school or think that physics and chemistry does not apply for medicine.
At least in Russia, typical treatment for severe pneumonia was pressure chamber ( increasing pressure you increase number of oxygen molecules in unit of volume ) or just adding oxygen to the breathing air.
Of course it is possible that some old and weak person could lose any strength in lung muscles trying to breath intensively, but you have to just don't give a fuck to his condition for a long time and intentionally leave him suffocating instead of placing him in pressure chamber or feedng with additional oxygen to make him breathe normally. So, you have to intentionally make lung muscles weak to get a reason for intubation in case of pneumonia. And it will not be pneumonia, it will be lang muscles failure. Obviously.
Yep, I remember in the beginning, part of the argument was that intubation allowed them to not have the 'germ infested' air exhaled through the room so it was deemed safer for staff and other patients and that was part of the argument for skipping the usual intermediate steps of supplemental oxygen. Probably staff in fear of getting killed themselves were reluctant to argue at first. If covid were really the deadly ebola type death sentence it was marketed as, then such decisions might have made a tad more sense but that should have been quickly found to be wrong very soon. Doctors should have known this was the wrong thing to do as well. I am not sure all hospitals went this route though, but it's scary to think of how many doctors killed people using the vents when they should have known better.
And now are still doing it with remdesivir. Docs were eventually able to spread the word around about the danger of the vents though, probably exactly because some docs knew how to properly treat clogged lungs. However few docs have experience with remdesivir and the way it kills can be mistaken for the way covid kills so it's going to be less easy to expose. Remdesivir is pure evil genius for killing more people, push a treatment that no one knows about that kills people in ways that can be blamed on the illness it is supposedly treating.
Good write up but I will say intubation, while not first line airway management, is the last step. Nasal cannula, non rebreather, airvo, bipap, intubate, is kind of the order things go. Intubation with a vent also allows PEEP manipulation to help maintain pressure